CONTEXT: Good health is the most important outcome of health care, and healthy life expectancy (HLE), an intuitive and meaningful summary measure combining the length and quality of life, has become a standard in the world for measuring population health. METHODS: This article critically reviews the literature and practices around the world for measuring and improving HLE and synthesizes that information as a basis for recommendations for the adoption and adaptation of HLE as an outcome measure in the United States. FINDINGS: This article makes the case for adoption of HLE as an outcome measure at the national, state, community, and health care system levels in the United States to compare the effectiveness of alternative practices, evaluate disparities, and guide resource allocation. CONCLUSIONS: HLE is a clear, consistent, and important population health outcome measure that can enable informed judgments about value for investments in health care.
CONTEXT: Good health is the most important outcome of health care, and healthy life expectancy (HLE), an intuitive and meaningful summary measure combining the length and quality of life, has become a standard in the world for measuring population health. METHODS: This article critically reviews the literature and practices around the world for measuring and improving HLE and synthesizes that information as a basis for recommendations for the adoption and adaptation of HLE as an outcome measure in the United States. FINDINGS: This article makes the case for adoption of HLE as an outcome measure at the national, state, community, and health care system levels in the United States to compare the effectiveness of alternative practices, evaluate disparities, and guide resource allocation. CONCLUSIONS: HLE is a clear, consistent, and important population health outcome measure that can enable informed judgments about value for investments in health care.
Authors: Dennis G Fryback; Nancy Cross Dunham; Mari Palta; Janel Hanmer; Jennifer Buechner; Dasha Cherepanov; Shani A Herrington; Ron D Hays; Robert M Kaplan; Theodore G Ganiats; David Feeny; Paul Kind Journal: Med Care Date: 2007-12 Impact factor: 2.983
Authors: Mark S Kaplan; Nathalie Huguet; Heather Orpana; David Feeny; Bentson H McFarland; Nancy Ross Journal: J Gerontol A Biol Sci Med Sci Date: 2008-10 Impact factor: 6.053
Authors: Herman Van Oyen; Wilma Nusselder; Carol Jagger; Petra Kolip; Emmanuelle Cambois; Jean-Marie Robine Journal: Int J Public Health Date: 2012-05-22 Impact factor: 3.380
Authors: Jean-Marie Robine; Emmanuelle Cambois; Wilma Nusselder; Bernard Jeune; Herman Van Oyen; Carol Jagger Journal: Arch Public Health Date: 2013-02-04